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West Virginia rates for HCPCS L2192

Addition To Lower Extremity Fracture Orthosis Hip Joint Pelvic Band Thigh Flange And Pelvic Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.33 / $238.33 / $238.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.82 / $228.10 / $238.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.86 / $576.65 / $807.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.18 / $322.92 / $482.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $522.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.23 / $251.00 / $2,189.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $345.78 / $345.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.96 / $230.15 / $383.58